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Onvida Health · 2 hours ago

Revenue Integrity Analyst | Corporate Center | Days

Yuma, AZ

Full-time

Onsite

Mid Level

$27.37/hr - $41.05/hr

3+ years exp

Onvida Health is dedicated to improving the health and well-being of the community, and they are seeking a Revenue Integrity Analyst to support financial objectives by analyzing trends and maximizing revenue. The role involves various analytical tasks, contract negotiations, and ensuring compliance with healthcare regulations.

Health CareMedicalNon ProfitWellness

Responsibilities

Perform various functions including providing support and analysis by querying appropriate data, preparing reports, making presentations of analysis, findings, and recommendations to management

Identify payment variances based on expected reimbursement from contracted managed care payors, government payors and non-contracted miscellaneous payors

Engage and provide necessary data to consultant and assist with contract negotiations

Research and understand changes in the healthcare regulatory environment and the potential impact on reporting

Staying abreast of payer and regulatory updates

Support Revenue Integrity Manager in financial modeling, identifying underpayment trends and coordination of data and communication to Managed Care Team

Conduct updates and maintenance of contracts including but not limited to rate fee schedules by client specific instructions

Work with IT to maintain Epic Managed Care model accurate and up to date

Monitor, analyze, identify trends and report zero payments and work closely with Patient Financial Services on Denials

Provide support to the Chargemaster Analysts and Charge Capture Analyst with projects, identifying missed opportunities, denials, and accounts within Work queues

Responsible to adhering CMS regulations for Price Transparency, Shoppable Services, Patient Estimates to include maintaining current in Epic and working closely with Patient Financial Services and Patient Access

Lead efforts to assess, modify, and/or develop and implement more timely and consistent processes/systems to increase efficiency, accuracy and meaningfulness of information related to Managed Care and Price Transparency

Perform audits and reviews, identify issues, risks, opportunities and optimizations and propose resolutions to include process improvement and/or development

Reports back to leadership and provide education and support

Qualification

Managed Care expertiseAnalytical skillsProblem solvingFinancial modelingContract negotiationsProcess improvementAttention to detailProject managementCommunication skills